Individual provider Active NPI

Sherri N Campbell, PA

  • Medical Physician Assistant
  • Wilmington, DE
National Provider Identifier
1740476605
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C50000323 Issued in DE
Practice address
3105 Limestone Rd
Suite 202
Wilmington, DE 19808-2151
Phone
(302) 994-6500
Fax
(302) 994-6922
NPI assigned
Sep 24, 2007
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C50000323 DE Primary

Addresses

Primary practice location

3105 Limestone Rd
Suite 202
Wilmington, DE 19808-2151

Mailing address

252 Chapman Rd
Suite 150
Newark, DE 19702-5438
Phone (302) 366-7665

Other identifiers 1

IdentifierTypeStateIssuer
1740476605MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000329 DE Practitioner - Physician Assistant 8921171257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Wilmington, DE 19803-2764

200 Hygeia Dr
Newark, DE 19713-2049

3521 Silverside Rd
Wilmington, DE 19810-4900
Phone (302) 623-1929

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C50000323DEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Mar 14, 2011 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 14, 2011 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Cardiology Consultants Past Accepting new patients
Cardiology Consultants PA Past Accepting new patients

Locations

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3105 Limestone Rd
Ste 202
Wilmington, DE 19808
Phone (302) 994-6500

3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 477-6510

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1740476605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CHAPMAN RD",
            "address_2": "SUITE 150",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025438",
            "telephone_number": "302-366-7665",
            "fax_number": "302-366-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082151",
            "telephone_number": "302-994-6500",
            "fax_number": "302-994-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHERRI",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C50000323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740476605",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.